CHRISTIAN MEDICAL COLLEGE

VELLORE - 632 004, TAMIL NADU, INDIA.

Out Patient Appointment

INDIAN-PATIENT
Patient ID
2209118396
381536G

381536G
381536G
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INDIAN RESIDENT
NATIONALITY - INDIAN

Name : PUSPA BARAI

DOB / Age / Gender : 02 January 1965 / 57 - Female
Mobile No : 7003539915 Token No : __________
Email ID : bidhan.ju.cse@gmail.com

Appointment Date : 05 October 2022 Room No : __________

Report Time : Report to MRO at: 11:30 AM
381536G

381536G
Clinic : ORTHOPAEDICS 3
Location : OPD BUILDING BASEMENT B 30
Doctor : Dr. THILAK S JEPEGNANAM
Mode of Payment : NET BANKING RECEIPT

Invoice No : W4304909
Bill No : A003583273
Receipt No : WEBAPU302666
Paid on : 11/09/2022 08:37 PM
Amount : Rs. 800/-

Address : 68 AJANTA ROAD, NEW SANTOSH PUR, KOLKATA, KOLKATA, WEST

BENGAL, INDIA.

General Instructions
381536G

381536G
1. If the patient requires in-patient admission a female attendant is mandatory.
2. Appointment booked online will Not be refunded.
3. Change of Department/Unit Not allowed.
4. Change In appointment Date will be allowed only once, upto one day prior To the appointment Date.
5. Please provide atleast Government Related ID proof When you present yourself at the Entrance / MRO counter.
6. Please contact Counter No: 2, 3, 4 (General) OR 402 (Private) in ISSCC Building Ground Floor to collect your Hospital Number Card.
7. Request for appointments via post / phone will Not be accepted.
8. Demand Drafts will only be accepted at cash counters, Not via post.